Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan
Identifieur interne : 001071 ( Main/Exploration ); précédent : 001070; suivant : 001072Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan
Auteurs : Yea-Yin Yen [Taïwan] ; Huey-Er Lee [Taïwan] ; Yi-Min Wu [Taïwan] ; Shou-Jen Lan [Taïwan] ; Wen-Chen Wang [Taïwan] ; Je-Kang Du [Taïwan] ; Shun-Te Huang [Taïwan] ; Kun-Jung Hsu [Taïwan]Source :
- BMC Oral Health [ 1472-6831 ] ; 2015.
Abstract
Although the use of removable dentures can improve oral function and esthetics for elderly people, compared to those who do not wear removable dentures, those wearing removable dentures could have worse oral health related-quality of life (OHRQoL). Additional information is required to assess which factors related to denture wearing influence the OHRQoL of elderly individuals. The purpose of this study is to evaluate the association between denture wearing and OHRQoL in a sample of elderly individuals in Taiwan.
The study population included 277 elderly people wearing removable dentures (mean age = 76.0 years). Using face-to-face interviews, we collected data on the participants’ socio-demographic characteristics, dental care service usage (regular dental checkups, treatment during toothache, dental visits in the last year), and factors related to denture wearing (perceived oral pain, perceived loose denture, perceived oral ulcer, perceived halitosis, perceived dry mouth, and perceived total denture satisfaction scores). OHRQoL was measured using the Taiwanese version of the Geriatric Oral Health Assessment Index (GOHAI-T). The location and number of remaining natural teeth and the type of denture were also recorded. Hierarchical multiple regression analysis was performed using GOHAI-T scores as the dependent variable.
All the predictors together accounted for 50% of the variance in GOHAI-T scores. Further, education level, number of natural teeth, denture status, perceived loose denture, perceived oral ulcer, and perceived total denture satisfaction scores had statistically significant influences on OHRQoL. When compared with other variables, factors related to denture wearing, especially perceived total denture satisfaction scores, had the greatest impact on GOHAI-T scores.
Of the factors analyzed in this study, denture satisfaction was the strongest predictor of OHRQoL. This suggests that denture satisfaction is useful for assessing the effect of denture treatment on the OHRQoL of elderly individuals wearing removable dentures.
Url:
DOI: 10.1186/1472-6831-15-1
PubMed: 25559722
PubMed Central: 4298049
Affiliations:
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Er" sort="Lee, Huey Er" uniqKey="Lee H" first="Huey-Er" last="Lee">Huey-Er Lee</name><affiliation wicri:level="1"><nlm:aff id="Aff2">School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Yi Min" sort="Wu, Yi Min" uniqKey="Wu Y" first="Yi-Min" last="Wu">Yi-Min Wu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Division of Periodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Periodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Lan, Shou Jen" sort="Lan, Shou Jen" uniqKey="Lan S" first="Shou-Jen" last="Lan">Shou-Jen Lan</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Healthcare Administration, College of Health Science, Asia University, Taichung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Healthcare Administration, College of Health Science, Asia University, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Wen Chen" sort="Wang, Wen Chen" uniqKey="Wang W" first="Wen-Chen" last="Wang">Wen-Chen Wang</name><affiliation wicri:level="1"><nlm:aff id="Aff2">School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6">Division of Oral Pathology, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country 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Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Prosthodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Shun Te" sort="Huang, Shun Te" uniqKey="Huang S" first="Shun-Te" last="Huang">Shun-Te Huang</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff8">Division of Pediatric Dentistry, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Pediatric Dentistry, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Hsu, Kun Jung" sort="Hsu, Kun Jung" uniqKey="Hsu K" first="Kun-Jung" last="Hsu">Kun-Jung Hsu</name><affiliation wicri:level="1"><nlm:aff id="Aff9">Division of Family Dentistry, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Division of Family Dentistry, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff10">Department of Dentistry, Kaohsiung Municipal Ci-Jin Hospital, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Dentistry, Kaohsiung Municipal Ci-Jin Hospital, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although the use of removable dentures can improve oral function and esthetics for elderly people, compared to those who do not wear removable dentures, those wearing removable dentures could have worse oral health related-quality of life (OHRQoL). Additional information is required to assess which factors related to denture wearing influence the OHRQoL of elderly individuals. The purpose of this study is to evaluate the association between denture wearing and OHRQoL in a sample of elderly individuals in Taiwan.</p></sec><sec><title>Methods</title><p>The study population included 277 elderly people wearing removable dentures (mean age = 76.0 years). Using face-to-face interviews, we collected data on the participants’ socio-demographic characteristics, dental care service usage (regular dental checkups, treatment during toothache, dental visits in the last year), and factors related to denture wearing (perceived oral pain, perceived loose denture, perceived oral ulcer, perceived halitosis, perceived dry mouth, and perceived total denture satisfaction scores). OHRQoL was measured using the Taiwanese version of the Geriatric Oral Health Assessment Index (GOHAI-T). The location and number of remaining natural teeth and the type of denture were also recorded. Hierarchical multiple regression analysis was performed using GOHAI-T scores as the dependent variable.</p></sec><sec><title>Results</title><p>All the predictors together accounted for 50% of the variance in GOHAI-T scores. Further, education level, number of natural teeth, denture status, perceived loose denture, perceived oral ulcer, and perceived total denture satisfaction scores had statistically significant influences on OHRQoL. When compared with other variables, factors related to denture wearing, especially perceived total denture satisfaction scores, had the greatest impact on GOHAI-T scores.</p></sec><sec><title>Conclusions</title><p>Of the factors analyzed in this study, denture satisfaction was the strongest predictor of OHRQoL. This suggests that denture satisfaction is useful for assessing the effect of denture treatment on the OHRQoL of elderly individuals wearing removable dentures.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Atchison, Ka" uniqKey="Atchison K">KA Atchison</name></author><author><name sortKey="Dolan, Ta" uniqKey="Dolan T">TA Dolan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heydecke, G" uniqKey="Heydecke G">G Heydecke</name></author><author><name sortKey="Locker, D" uniqKey="Locker D">D Locker</name></author><author><name sortKey="Awad, Ma" uniqKey="Awad M">MA Awad</name></author><author><name sortKey="Lund, Jp" uniqKey="Lund J">JP Lund</name></author><author><name sortKey="Feine, Js" uniqKey="Feine J">JS Feine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carlsson, Ge" 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sortKey="Huang, Shun Te" sort="Huang, Shun Te" uniqKey="Huang S" first="Shun-Te" last="Huang">Shun-Te Huang</name><name sortKey="Lan, Shou Jen" sort="Lan, Shou Jen" uniqKey="Lan S" first="Shou-Jen" last="Lan">Shou-Jen Lan</name><name sortKey="Lee, Huey Er" sort="Lee, Huey Er" uniqKey="Lee H" first="Huey-Er" last="Lee">Huey-Er Lee</name><name sortKey="Lee, Huey Er" sort="Lee, Huey Er" uniqKey="Lee H" first="Huey-Er" last="Lee">Huey-Er Lee</name><name sortKey="Wang, Wen Chen" sort="Wang, Wen Chen" uniqKey="Wang W" first="Wen-Chen" last="Wang">Wen-Chen Wang</name><name sortKey="Wang, Wen Chen" sort="Wang, Wen Chen" uniqKey="Wang W" first="Wen-Chen" last="Wang">Wen-Chen Wang</name><name sortKey="Wang, Wen Chen" sort="Wang, Wen Chen" uniqKey="Wang W" first="Wen-Chen" last="Wang">Wen-Chen Wang</name><name sortKey="Wu, Yi Min" sort="Wu, Yi Min" uniqKey="Wu Y" first="Yi-Min" last="Wu">Yi-Min Wu</name><name sortKey="Wu, Yi Min" sort="Wu, Yi Min" uniqKey="Wu Y" first="Yi-Min" last="Wu">Yi-Min 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